Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1962-07-13
- Stop
- 1962-07-13
The parties
- Patient
- patient Sharell Herma Schaden
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
19f98f29-fa6f-31a8-d9b3-fc7f181a99af